I-aspergilloma yamaphaphu

I-pulmonary aspergilloma isisindo esibangelwa ukutheleleka kwefungal. Imvamisa ikhula emigodini yamaphaphu. Ukutheleleka kungavela futhi ebuchosheni, ezinso, noma kwezinye izitho.

I-Aspergillosis yisifo esibangelwa i-fungus aspergillus. Ama-aspergillomas akhiwa lapho isikhunta sikhula esixukwini emgodini wamaphaphu. Umgodi uvame ukwenziwa yisimo esedlule. Izikhala emaphashini zingabangelwa izifo ezinjengalezi:

• Isifo sofuba
• ICoccidioidomycosis
• ICystic fibrosis
• I-Histoplasmosis
• Ithumba lamaphaphu
• Umdlavuza wamaphaphu
• I-Sarcoidosis

Izinhlobo ezivame kakhulu zesikhunta ezibangela izifo kubantu yilezi Aspergillus fumigatus.

I-Aspergillus iyisikhunta esivamile. Ikhula emaqabungeni afile, okusanhlamvu okugciniwe, ubulembu bezinyoni, izinqwaba zomquba nezinye izitshalo ezibolayo.

Ungahle ungabi nazimpawu. Lapho izimpawu zikhula, zingabandakanya:

• Ubuhlungu besifuba
• Khwehlela
• Ukukhwehlela igazi, okungaba wuphawu olusongela impilo
• Ukukhathala
• Imfiva
• Ukwehla kwesisindo ngokungenhloso

Umhlinzeki wakho wezokunakekelwa kwempilo angasola ukuthi unegciwane lesikhunta ngemuva kwama-x-ray amaphaphu akho akhombisa ibhola lesikhunta. Olunye uvivinyo olungenziwa lubandakanya:

• I-biopsy yezicubu zamaphaphu
• Ukuhlolwa kwegazi ukutholakala kwe-aspergillus emzimbeni (galactomannan)
• Ukuhlolwa kwegazi ukuthola ukuphendula komzimba ku-aspergillus (amasosha omzimba athile we-aspergillus)
• I-Bronchoscopy noma i-bronchoscopy ngokuhlanza
• Isifuba CT
• Isiko lesikhohlela

Abantu abaningi abakaze babe nezimpawu. Imvamisa, aludingi ukwelashwa, ngaphandle kokuthi ukhwehlela igazi.

Kwesinye isikhathi, kungasetshenziswa imishanguzo yokubulala amagciwane.

Uma wopha emaphashini, umhlinzeki wakho angajova udayi emithanjeni yegazi (i-angiography) ukuthola indawo yokopha. Ukopha kumiswa noma yikuphi:

• Ukuhlinzwa ukususa i-aspergilloma
• Inqubo efaka izinto emithanjeni yegazi ukumisa ukopha (ukuhlanganisa)

Umphumela ungaba muhle kubantu abaningi. Kodwa-ke, kuya ngobukhulu besimo nempilo yakho yonke.

Ukuhlinzwa kungaphumelela kakhulu kwezinye izimo, kepha kuyinkimbinkimbi futhi kungaba nengozi enkulu yezinkinga ezinkulu.

Izinkinga ze-aspergilloma yamaphaphu zingafaka:

• Ukuphefumula kanzima okuya ngokuya kuba kubi
• Ukopha okukhulu okuvela emaphashini
• Ukusabalala kwesifo

Bona umhlinzeki wakho uma ukhwehlela igazi, futhi uqiniseke ukusho noma yiziphi ezinye izimpawu ezivelile.

Abantu abaye baba nezifo ezihlobene namaphaphu noma abenze buthakathaka amasosha omzimba kufanele bazame ukugwema izindawo lapho kutholakala khona ukhunta lwe-aspergillus.

Isikhunta ibhola; I-Mycetoma; I-Aspergilloma; I-Aspergillosis - i-aspergilloma yamaphaphu

• Amaphaphu
• I-Pululemon nodule - ukubukwa kwangaphambili kwesifuba x-ray
• Isigaxa sepulmonary, sisodwa - i-CT scan
• I-Aspergilloma
• I-aspergillosis yamaphaphu
• I-Aspergillosis - i-x-ray yesifuba
• Uhlelo lokuphefumula

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UPatterson TF, Thompson GR 3rd, uDenning DW, et al. Imihlahlandlela yokuzijwayeza yokuxilongwa nokuphathwa kwe-aspergillosis: ukubuyekezwa kwe-2016 yi-Infectious Diseases Society of America. I-Clin Infect Dis. 2016; 63 (4): e1-e60. I-PMID: 27365388 pubmed.ncbi.nlm.nih.gov/27365388/.

UWalsh TJ. I-Aspergillosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 319.